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A scoping review of medical professionalism research published in the Chinese language

View Article: PubMed Central - PubMed

ABSTRACT

Background: The Chinese Medical Doctors Association (CMDA) adopted the Charter of Medical Professionalism in the New Millennium (Charter) and published the Chinese Medical Doctor Declaration (Declaration). This is an important step to re-building medical professionalism in China at a time when the commercialization of health care has led to a decline in physician accountability and public trust in the profession. In response, authors have begun to examine and promote medical professionalism in China. This study aims to present the key research themes, identify research gaps and offer recommendations from reviewing the increasing pool of Chinese-language literature on medical professionalism.

Methods: A scoping review of Chinese language papers was conducted using the China National Knowledge Infrastructure (including China Academic Journals Full-text Database, China Doctoral Dissertations Full-text Database, Masters’ Theses Full-text Database, China Core Newspapers Full-text Database, and China Yearbooks Full-text Database) (CNKI) database.

Results: Four major research themes were identified in Chinese discourse: (1) teaching professionalism, (2) practicing professionalism, (3) conceptualizing professionalism and (4) assessing professionalism. Overall, authors were concerned with the cultivation of humanism in physicians and emphasized the importance of communication skills to improve the physician-patient relationship in China. They explored the role of traditional Chinese values, such as Confucian and Taoist values, as well as the Communist Party’s political values, in promoting professional behaviour.

Conclusions: Authors demonstrate increasing interest in medical professionalism in China. The literature is of variable quality and further empirical studies are required in order to evaluate teaching interventions and guide professionalism assessment. A common professionalism framework is absent and could be developed with consideration to China’s socio-cultural context.

No MeSH data available.


Number of publications on professionalism in the CNKI database from 1994 to 2014
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Fig2: Number of publications on professionalism in the CNKI database from 1994 to 2014

Mentions: A distinct rise in the quantity of medical professionalism literature was observed starting in 2002 (see Fig. 2). Of the 695 articles selected in this review, only 42 of the articles were published prior to 2002; the remaining 653 articles were published in the subsequent decade. The content of medical professionalism literature also changed over time. Before 2002, research focused on the importance of humanism in medicine and the integration of science and humanism. After 2002, articles place more attention on current challenges in medical professionalism such as the deterioration of the physician-patient relationship. Of the literature reviewed, it is important to note that the majority of articles were position papers, with few empirical studies conducted. Of the 695 articles selected in this review, only 43 of them were empirical studies; the remaining 652 articles were positioning papers (see Fig. 3). Four main themes were identified: teaching professionalism, practicing professionalism, conceptualizing professionalism and assessing professionalism in China’s cultural context (see Figs. 4 and 5). Note that a single article may address more than one theme.Fig. 2


A scoping review of medical professionalism research published in the Chinese language
Number of publications on professionalism in the CNKI database from 1994 to 2014
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5120467&req=5

Fig2: Number of publications on professionalism in the CNKI database from 1994 to 2014
Mentions: A distinct rise in the quantity of medical professionalism literature was observed starting in 2002 (see Fig. 2). Of the 695 articles selected in this review, only 42 of the articles were published prior to 2002; the remaining 653 articles were published in the subsequent decade. The content of medical professionalism literature also changed over time. Before 2002, research focused on the importance of humanism in medicine and the integration of science and humanism. After 2002, articles place more attention on current challenges in medical professionalism such as the deterioration of the physician-patient relationship. Of the literature reviewed, it is important to note that the majority of articles were position papers, with few empirical studies conducted. Of the 695 articles selected in this review, only 43 of them were empirical studies; the remaining 652 articles were positioning papers (see Fig. 3). Four main themes were identified: teaching professionalism, practicing professionalism, conceptualizing professionalism and assessing professionalism in China’s cultural context (see Figs. 4 and 5). Note that a single article may address more than one theme.Fig. 2

View Article: PubMed Central - PubMed

ABSTRACT

Background: The Chinese Medical Doctors Association (CMDA) adopted the Charter of Medical Professionalism in the New Millennium (Charter) and published the Chinese Medical Doctor Declaration (Declaration). This is an important step to re-building medical professionalism in China at a time when the commercialization of health care has led to a decline in physician accountability and public trust in the profession. In response, authors have begun to examine and promote medical professionalism in China. This study aims to present the key research themes, identify research gaps and offer recommendations from reviewing the increasing pool of Chinese-language literature on medical professionalism.

Methods: A scoping review of Chinese language papers was conducted using the China National Knowledge Infrastructure (including China Academic Journals Full-text Database, China Doctoral Dissertations Full-text Database, Masters’ Theses Full-text Database, China Core Newspapers Full-text Database, and China Yearbooks Full-text Database) (CNKI) database.

Results: Four major research themes were identified in Chinese discourse: (1) teaching professionalism, (2) practicing professionalism, (3) conceptualizing professionalism and (4) assessing professionalism. Overall, authors were concerned with the cultivation of humanism in physicians and emphasized the importance of communication skills to improve the physician-patient relationship in China. They explored the role of traditional Chinese values, such as Confucian and Taoist values, as well as the Communist Party’s political values, in promoting professional behaviour.

Conclusions: Authors demonstrate increasing interest in medical professionalism in China. The literature is of variable quality and further empirical studies are required in order to evaluate teaching interventions and guide professionalism assessment. A common professionalism framework is absent and could be developed with consideration to China’s socio-cultural context.

No MeSH data available.